Anesthetic Management for Videothoracoscopic Sympathectomy in a Patient with Upper Limb Hyperhidrosis.
10.4097/kjae.1993.26.3.587
- Author:
Sung Su KIM
1
;
Sang Kyi LEE
Author Information
1. Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Thoracoscopy;
Sympathectomy;
Hyperhidrosis
- MeSH:
Cicatrix;
Humans;
Hyperhidrosis*;
Insufflation;
Length of Stay;
One-Lung Ventilation;
Oxygen;
Pain, Postoperative;
Pleural Cavity;
Risk Assessment;
Sympathectomy*;
Tachycardia, Sinus;
Thoracic Surgery;
Thoracoscopy;
Upper Extremity*;
Ventilation
- From:Korean Journal of Anesthesiology
1993;26(3):587-591
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In recent year, some thoracic operations were performed by use of videothoracoscopy becauae of its benefits: minimal postoperative pain and complications, small surgical scars and shorter hospital stay. We reyort our experience of the anesthetic management for a patient who underwent thoracic endoscopic sympathectomy for upper limh hyperhidrosia. One lung ventilation with a left-sided double lumen endobroncheal tube was performed to provide adequate surgical access, and a careful monitoring was done for adequate oxygenation and ventilation. The patient developed a hypercarbia and sinus tachycardia after CO2 insufflation into the right pleural cavity. We discusaed the benefits and risks of endoscopic thoracic surgery and aneethetic managements.
